| NPI | 1174073480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA RENEE PILLOW Therapist/Owner 810-399-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014779) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |