| NPI | 1104209493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH SIPPLE JANICK Nurse Practitioner 517-410-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 4704194601) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-30 |