| NPI | 1205145711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE COOPERSMITH Clinical Social Worker 517-214-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801089584) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |