| NPI | 1033343843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC T MILHANDER Director 269-683-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007537) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-03-18 |