| NPI | 1386133809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUVONE MARIE ROGERS Owner 810-300-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401016563) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |