| NPI | 1558129551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE COLVIN License Professional Counselor 586-648-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2025-04-12 |