| NPI | 1114603982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE FROMBGEN GRANT Licensed Professional Counselor 734-474-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-12-01 |