| NPI | 1265098792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE IDALSKI Licensed Professional Counselor 989-255-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |