| NPI | 1730589375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA S SOSIN Licensed Professional Counselor 248-872-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701004439) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |