| NPI | 1356803399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY BISKELONIS Owner 734-531-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-06-11 |