| NPI | 1609646256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTER ABDALLAH Credentialer 734-802-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 221700000X Art Therapist | |
| 225A00000X Music Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |