| NPI | 1396315305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN KEOUGH Owner 734-531-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-07-03 |