| 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 |