| NPI | 1518453323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERA LAGALO Owner, Practice Administrator 517-507-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-04 |