| NPI | 1962995829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AARON SCOTT HETHORN Counselor/Owner 734-623-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-07-11 |