| NPI | 1598311839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOVELETTE Owner 810-834-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-12-27 |