NPI | 1669715298 |
---|---|
Entity Type | Organization |
Authorized Contact | MERTON ANTHONY SHILL President 734-662-0294 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301003005) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2013-04-02 |