| NPI | 1508534074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CUNNINGHAM Limited Licensed Psychologist 269-358-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |