NPI | 1750579629 |
---|---|
Other Name | THE GROWING TREE |
Entity Type | Organization |
Authorized Contact | BRENT RODERICK SMITH Executive Director 517-750-3869 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008782) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2018-08-13 |