| NPI | 1518389188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J NESTER Owner 248-932-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301012432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401012075) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801081489) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801068363) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401012674) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-02-09 |