| NPI | 1326546987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE VAUGHAN President 248-752-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-07-31 |