NPI | 1295073393 |
---|---|
Doing Business As | IBH PSYCHOLOGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | SHERYL LOZOWSKI-SULLIVAN Director 269-459-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013297) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2017-10-06 |