| NPI | 1972625424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILTON T THOMAS Executive Director 517-321-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301003971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801063438) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-10-17 |