NPI | 1245559988 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD THIEMKEY Executive Director 269-948-8041 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2010-05-20 |
Last Update Date | 2018-11-01 |