| NPI | 1134837354 |
|---|---|
| Other Name | BODHI TREE CENTER FOR HOLISTIC THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT BALLANTYNE Owner 313-282-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |