| NPI | 1962414805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDER WECKSTEIN President 231-935-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |