| NPI | 1700665015 |
|---|---|
| Former Legal Business Name | LAVERNE SANTANGELO |
| Entity Type | Organization |
| Authorized Contact | LAVERNE SANTANGELO License Professional Counselor 586-945-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-02-29 |