| NPI | 1316042088 |
|---|---|
| Former Legal Business Name | THERAPEUTIC ALLIANCE, PLLC |
| Entity Type | Organization |
| Authorized Contact | WENDY SHARPE TAGGART Owner/Provider 248-628-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801065246) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-03-12 |