| NPI | 1083486930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BURGESS Owner 248-459-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2026-07-29 |