| NPI | 1629969068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HESS CEO 269-655-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-18 |