| NPI | 1093432171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA HOUSE Practice Owner/Clinical Counselor 989-292-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-24 |