| NPI | 1942032628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ZETTELL Medical Director 269-969-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |