| NPI | 1679080030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN QUALLS President 810-397-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006433) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |