| NPI | 1992160899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BEAUBIEN Office Manager 734-457-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6801088306) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |