| NPI | 1902692940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LENTENBRINK CEO 269-998-4365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |