| NPI | 1891272159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK NEWSOME Credentialing 517-442-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 410100669) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-05-31 |