| NPI | 1457846529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA CANE Clinical Director 269-598-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014776) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |