| NPI | 1053127399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCKIDDY CEO/Clinical Psychotherapist 586-381-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |