| NPI | 1316374705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TESNER Clinical Supervisor/Lpc/Owner 734-658-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401011816) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |