NPI | 1538107008 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PAUL VARANI President 810-629-8179 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301004055) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2013-01-28 |