| NPI | 1215383690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA CHAMPAGNE Owner / Authorized Official 248-518-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013115) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |