| NPI | 1306166160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH BUNN Owner/Therapist 734-377-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 091773) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01551) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 204697) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34005756A) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 078431) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |