| NPI | 1295360238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE L AKINS Licensed Professional Counselor 248-834-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |