| NPI | 1750706883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M ABELA-TESNER Lpc/Owner 734-658-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401011816) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |