| 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 |