| NPI | 1528808920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNAN M DEWITT Licensed Professional Counselor 517-420-7362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-06-05 |