| NPI | 1588153480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE SCOTT Director 810-597-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011708) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-10-15 |