| NPI | 1750078390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L. FOWLER Licensed Professional Counselor 810-428-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |