| NPI | 1639600687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLOUGH Owner 734-776-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014637) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2021-01-14 |