| NPI | 1790793131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN N. LUPINI Owner 269-979-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011489) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-11-28 |