| NPI | 1205028008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J CLOUTHIER President 248-283-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401003903) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |