| NPI | 1619308517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA BOMBRYS Owner Counselor 517-862-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |