| NPI | 1407224397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY LYN GALGOCI Owner 989-492-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI L817276) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |