| NPI | 1043469307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CLAIRE DEVINE Psychiatrist 231-670-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 4301082875) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-10-01 |