| NPI | 1538602784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A MCCASKILL Clinical Director 734-416-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6301012563) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |