| NPI | 1053663633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BETH FRY Behavioral Health Specialist 734-477-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI CB810201161) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management (Licence: MI CB810201161) | |
| 253J00000X Foster Care Agency (Licence: MI CB810201161) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2017-10-19 |