| NPI | 1265991194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MCGRAW Owner 248-736-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-11-09 |