| NPI | 1174050827 |
|---|---|
| Other Name | LISCENSED PROFESSIONAL COUNSELORS |
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-03-06 |