| NPI | 1063869493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA MICHELLE THORINGTON-FOX President 248-629-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2019-12-06 |