| NPI | 1720069602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ELAINE HOGENSON President/CEO 989-393-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2022-05-02 |