| NPI | 1851740732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN HAYES Ma, Lpc, Ncc 313-909-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011643) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |