| NPI | 1871892810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M GUILFORD President/Owner 269-383-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006288) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |