NPI | 1619451655 |
---|---|
Former Legal Business Name | ANXIETY WELLNESS PROGRAM |
Entity Type | Organization |
Authorized Contact | GABRIELA ZAMORA-AHLSTROM Clinical Director 586-291-7557 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-09-15 |
Last Update Date | 2020-07-30 |