NPI | 1700833555 |
---|---|
Entity Type | Organization |
Authorized Contact | ERVIN BRINKER CEO 269-966-1460 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
207Q00000X Family Medicine | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2007-09-25 |