| NPI | 1467224907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FRIEDLAND Owner 810-820-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2024-05-20 |