| NPI | 1730370206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A MCLEAN Director 269-383-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2015-06-24 |