| NPI | 1871802363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS CHITWOOD Owner/Psychologist 231-468-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401002628) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401004741) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301009040) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801060067) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |