| NPI | 1548648322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL MILLER Office Manager 586-783-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-06-06 |