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