| NPI | 1376765743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE LEONORA KOSS Therapist 269-344-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301008528) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-07-30 |