| NPI | 1497942429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARD STRANG Co Owner 269-962-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011818) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: MI 6301007127) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-07-24 |