| NPI | 1720578636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SIMKO Lpc/Owner 734-454-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007152) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |