| NPI | 1316529316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GORDON Owner And Psychotherapist 248-878-3759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |