| NPI | 1902253776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA BRANSCOMBE Director Of Services 517-643-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 1124376306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 1255708764) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |