| NPI | 1952789372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA CARRINGTON Director 888-726-5632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012332) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-09-19 |