NPI | 1790703502 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD DUANE LEIX CEO 989-667-9661 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2006-07-18 |
Last Update Date | 2025-09-11 |