| NPI | 1194478164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORILYN FIELDS President 989-565-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |