| NPI | 1053930180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIEDAH LADONNA SPENCER-ARDIS Marriage & Family Therapist 248-470-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-11-12 |