| NPI | 1447773254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA PRATT Counselor 313-283-1639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007457) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-07-05 |