| NPI | 1689926081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN C LONGENBARGER Owner 734-770-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 640102636) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |