NPI | 1063971430 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN LOUISE CASTILE Clinical Therapist/Owner 810-328-3461 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2019-03-15 |
Last Update Date | 2021-03-01 |