| NPI | 1144723404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA WILSON Co Owner 248-206-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-12-14 |