| NPI | 1457890014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANGEL MCGHEE Owner 248-480-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009379) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |