| NPI | 1164526380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CUSHINGBERRY CEO 248-945-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401001831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801062749) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2009-02-18 |