| NPI | 1730911199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY HAMILTON BROCHHAGEN Clinical Psychologist 810-334-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2026-03-24 |