| 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 |