| NPI | 1841979069 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EMILIA MCCONNELL Therapist 517-410-5610  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2023-07-14 | 
| Last Update Date | 2023-07-14 |