| NPI | 1508390709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN TILFORD Owner/Counselor 980-298-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6401002086) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-02-21 |