| NPI | 1811291990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN WARREN CRUMMETT Licensed Psychologist 231-773-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MI 6301006533) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-03-25 |