| NPI | 1710105887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN STONE Ellenstone Pc 248-661-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 68010252) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-05-16 |