| NPI | 1033647987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M GOULD Therapist 517-914-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013121) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |