| NPI | 1134881436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DUNNUCK Therapist 517-505-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |