| NPI | 1750579629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RODERICK SMITH CEO 517-750-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2025-07-08 |