| NPI | 1558494633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHARLES LUNDBLAD Executive Director 810-985-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801016861) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |