| NPI | 1538605019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK DAVID DUNCAN Owner 248-915-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6301013481) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6301013481) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2022-04-11 |