| NPI | 1629224340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FRANKLIN STRAUSS Director Clinical Psychologist 231-347-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301005612) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801033976) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |