| NPI | 1245981182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE JENKINS Chief Operating Officer 269-948-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-07-23 |