| NPI | 1932292240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA MAE SIERAKOWSKI Executive Director 989-686-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: 4301035010) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 6401006762) |
| 101YP2500X Counselor, Professional (Licence: 6401001984) | |
| 103T00000X Psychologist (Licence: 6301002384) | |
| 103T00000X Psychologist (Licence: 6301007950) | |
| 103T00000X Psychologist (Licence: 6301009280) | |
| 103T00000X Psychologist (Licence: 6301003403) | |
| 104100000X Social Worker (Licence: 6801071978) | |
| 104100000X Social Worker (Licence: 6801064601) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-02-15 |