| NPI | 1467627042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE S. TAYLOR Psychotherapist 810-695-9466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801065486) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 101ym0800x) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-05-22 |