| NPI | 1669285227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ANN GREEN-BROWN Manager 269-873-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |