| NPI | 1093385619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE D O'KEEFE Professional Counselor 810-373-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2025-08-27 |