| NPI | 1073147591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SEIM-ANDREW Counselor 734-502-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-03-12 |