| NPI | 1134273766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA R. WILLIAMS Vice President 269-375-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301001976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801065401) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-08-04 |