| NPI | 1407242654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOVELETTE Owner 810-660-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801092886) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301011617) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2019-08-26 |