| NPI | 1225368657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M TAYLOR CEO 517-676-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801086429) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6301013081) |
| 101YP2500X Counselor Professional (Licence: MI 6401005935) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |