NPI | 1376972299 |
---|---|
Entity Type | Organization |
Authorized Contact | CODY BARNWELL KEARSE Mental Health Counselor 248-918-3422 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MI 6401013632) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2013-11-01 |