| NPI | 1952750895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA J COLVARD Licensed Professional Counselor 248-721-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6401009266) |
| Additional Taxonomies | 251S00000X (Licence: MI 6401014155) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |