| NPI | 1760733802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA HILLEBRAND Mental Health Program Director 734-769-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801064782) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6301015341) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-12-05 |