| NPI | 1023537495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELISE PHILLIPS Owner / Authorized Official 248-894-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014860) |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2023-12-20 |