| NPI | 1821163882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE MENENDES COO 989-799-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-07-21 |