| NPI | 1124385794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K PATTULLO Owner 989-745-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801071700) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-07-11 |