| NPI | 1063899912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SILVENNOINEN Counselor 734-330-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2023-06-30 |