NPI | 1366055212 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI BONDALAPATI CEO 248-763-8536 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |