| NPI | 1083956312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY GILBERT Administrative Director 248-244-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2022-01-17 |