| NPI | 1801245972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE KOSMAS Licensed Professional Counselor 586-333-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-06-21 |