| NPI | 1639691116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MAY YOUNGLOVE Owner 517-662-5084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011293) |
| 103TC0700X Psychologist, Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2025-03-04 |