| NPI | 1841901337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WAGNER Executive Director 517-242-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-07-06 |