| NPI | 1932241866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK TOBIN SULIER Owner 269-983-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301009442) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012953) |
| 103T00000X Psychologist (Licence: MI 6301007140) | |
| 103T00000X Psychologist (Licence: MI 6301003207) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-09-20 |