| NPI | 1639671449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J FARRELL Owner / President 517-285-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012447) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201000678) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-04-07 |