| NPI | 1417209057 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBRA LOVING Owner 586-558-6868  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013130)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 2102227)  | 
| Enumeration Date | 2012-10-05 | 
| Last Update Date | 2024-05-11 |