| NPI | 1194228171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHARA WARREN Therapist/Owner 734-262-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 149.016080) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |