| NPI | 1275899056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ALLEN STRATTON Therapist 517-294-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087882) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |