| NPI | 1457628695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MICHALOWSKI President 517-347-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 5315042865) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801064670) |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: MI 4704114720) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |