| NPI | 1275964231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN KRAJCIK Therapist 734-891-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088977) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801088977) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |