| NPI | 1457767832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY SUE BRANT Owner 734-799-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092432) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012582) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-01-09 |