| NPI | 1821392051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M. CRAFTON Psychologist 269-375-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301003927) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-18 |