| NPI | 1295935955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE S. LINDENMUTH Receptionist 248-539-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 079625) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |