| NPI | 1659529139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JAMES MCMILLAN Owner 248-229-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013424) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |