| NPI | 1245619949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMELL JEFFERSON Owner 248-294-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012241) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |