| NPI | 1568797678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M WALDEN Owner 269-353-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301071370) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |