| NPI | 1093820938 |
|---|---|
| Doing Business As | COUNSELING AND DEVELOPMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALEX E COSTINEW Owner And Director 810-588-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301002052) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401006534) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801017579) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-10-04 |