NPI | 1952927923 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL LYNN DIXON Member/Owner 517-819-2527 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |