| NPI | 1821329681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE LOVELL MABURY Owner 586-771-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401011565) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |