| NPI | 1174043137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE WRIGHT Owner/Operator 248-965-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014645) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |