| NPI | 1174706048 |
|---|---|
| Other Name | THERESA CALLARD-MOORE, ACSW |
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE CALLARD-MOORE President 810-630-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801067098) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |