| NPI | 1598193310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALTON KILLIAN CONNALLY Owner 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095252) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2021-08-05 |