| NPI | 1457603995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R STARNES Director 734-612-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012539) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |