| NPI | 1467797506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANDREW GALL Clinical Psychologist 810-543-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301011878) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |