| NPI | 1285489112 |
|---|---|
| Doing Business As | BOUSE THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MAXIMINO BOUSE Owner 734-999-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-12-09 |