| NPI | 1659146322 |
|---|---|
| Doing Business As | SIDNEY BOHANEN |
| Entity Type | Organization |
| Authorized Contact | SIDNEY R BOHANEN CEO 248-242-2055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |