| NPI | 1548201262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JOHNSEN CEO 810-358-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2025-04-15 |