| NPI | 1598094294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CHASE President/Owner 248-650-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2019-11-06 |