| NPI | 1609095702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN OLSON Staff Psychologist 989-224-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301007036) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-12-17 |