| NPI | 1952357410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH THIEMKEY Executive Director 269-948-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 080015) |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-07-23 |