| NPI | 1407477698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON REED CEO 517-490-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2026-01-14 |