NPI | 1730377672 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS CLARK ORTMAN Owner 586-795-3232 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008861) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2013-05-17 |