| NPI | 1770061962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELIZABETH DEMOINES Owner 810-471-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2019-05-14 |