| NPI | 1235594284 |
|---|---|
| Doing Business As | BETTY THACK MA LPC |
| Entity Type | Organization |
| Authorized Contact | BETTY JANE THACK Counselor/Psychotherapist 248-761-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401009796) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-01-16 |