| NPI | 1265685903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE THOMPSON COO 989-672-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MI SA0790042) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-12-27 |