| NPI | 1427427814 |
|---|---|
| Doing Business As | INTENTIONAL COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | STACEY M MACK Licensed Master Social Worker 734-879-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |