| NPI | 1548020928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKANKSHA MADAN Lpc 248-832-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-10-17 |