| NPI | 1417289299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JOLLY Managing Partner/Therapist 810-793-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401008841) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6801013350) |
| 251S00000X Community/Behavioral Health (Licence: MI 6401001683) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |