| NPI | 1164206116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITTA FIELDS Owner 248-221-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |