| NPI | 1770246407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WOODCOCK-BURROUGHS Psychologist/Owner 517-304-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |