| NPI | 1538465539 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | LINDA L. LUNSTED Mental Health Therapist 517-819-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801086231) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |