| NPI | 1588872816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARLAND W BATHERSON Owner 810-494-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MI 6301006275) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |