| NPI | 1295239416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL S AGNEW Owner 586-203-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013449) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801089393) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006139) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-09-07 |