| NPI | 1467687640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SMITH SVP 517-205-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2024-03-06 |