| NPI | 1497164677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PHILIP DUNATCHIK Licensed Professional Counselor 248-207-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1300510-TRNE) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |