| NPI | 1184333130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN PROSSER CEO 248-459-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |