NPI | 1215348529 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSTAL MASON DAVIS Clinician/Owner Of Care Counseling 248-978-6433 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093024) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2020-09-29 |