| NPI | 1548322548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART ANTHONY President Owner 248-338-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 631300) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 631300) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-07-10 |