| NPI | 1609073527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA JOYCE EATON President 586-795-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006308) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2009-05-21 |