| NPI | 1033585955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE F JACKSON Proprietor/Psychotherapist 810-845-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801077180) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-01-06 |