| NPI | 1528508959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA JAMERSON Director 248-249-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72896) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2023-08-18 |