| NPI | 1003878554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HESS Chief Executive Officer 269-657-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-01-31 |