| 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 |