| NPI | 1174064968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L LINDSAY Licensed Professional Counselor 734-658-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2022-02-03 |