NPI | 1174778682 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE BAVONESE Director 248-546-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6301007576) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2011-05-13 |