| NPI | 1861613887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE W. EGGERTSEN President, Owner 586-752-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |