| NPI | 1306498514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN EARLEY Therapist 517-614-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |