| NPI | 1215442777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ALLSWEDE Owner/Clinician 517-214-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801091060) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |