| NPI | 1073026498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNISSA J LEWIS Sole Member/Licensed Counselor 517-392-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401009840) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |