| NPI | 1871232660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LAZAROV Licensed Professional Counselor 989-854-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |