| NPI | 1831297829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN SENK Billing Director 734-996-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6301011289) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |