NPI | 1316345184 |
---|---|
Doing Business As | BALANCED LIFESTYLE COUNSELING |
Entity Type | Organization |
Authorized Contact | GUY R WILLIAMS Owner 248-652-4799 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014247) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014247) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01194) | |
Enumeration Date | 2014-12-10 |
Last Update Date | 2015-12-10 |