| NPI | 1578104584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY J. PARSHALL Manager/Owner 517-285-2559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |