| NPI | 1396386785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA RAE MCCABE Practice Manager/Psychotherapist 810-922-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-12-12 |