| NPI | 1376853366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CHILDERS Counselor/Owner 313-689-5813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009988) |
| Enumeration Date | 2010-10-09 |
| Last Update Date | 2010-10-09 |