| NPI | 1386784874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN MOHR Psychotherapist 517-377-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4101006215) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |