NPI | 1558684605 |
---|---|
Entity Type | Organization |
Authorized Contact | TIANNA HOPPE-ROONEY Director 810-494-7180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 4101006409) |
1041C0700X Social Worker Clinical (Licence: MI 6801089767) | |
106H00000X Marriage & Family Therapist (Licence: MI 4101006287) | |
Enumeration Date | 2010-03-03 |
Last Update Date | 2021-12-01 |