| NPI | 1821316027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIS RUSSELL Chief Executive Office 810-257-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |