| NPI | 1457046682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL FICK Owner 734-664-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-14 |