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 |