| NPI | 1619067063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VARADY President 248-591-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6801019641) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2008-08-18 |