| NPI | 1508358722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SHEELEY-BRUMM Owner 586-718-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |