| NPI | 1134318066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM JANISSE LOGAN CEO 313-898-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L1118869) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-09-29 |