| NPI | 1518326461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HATTIE NICHOLS Manager 517-980-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801079885) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2026-02-10 |