| NPI | 1598092553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BENNETT Psychotherapist 734-218-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6802064924) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |