| NPI | 1104374800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CHAPMAN Owner 248-660-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094276) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |