| NPI | 1245686922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M CONSTANCE CEO 734-516-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013267) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |