| NPI | 1578601522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A. LIETHEN Executive Director 810-985-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-12-28 |