| NPI | 1588356596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA POMNITZ Member 248-599-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 167G00000X Licensed Psychiatric Technician | |
| 1835P1300X Pharmacist, Psychiatric | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |