| NPI | 1548651714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE CAZA Interim Executive Director 810-984-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 4301038492) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |