| NPI | 1235904384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNN ANTHONY SARDEN Founder/President 313-212-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-11-19 |