| NPI | 1427924398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE HUBERTY Physician/Proprietor 269-222-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-12-05 |