| NPI | 1073107488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE H GLADE Licensed Professional Counselor 810-626-5196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |