| NPI | 1629842067 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RENEE M ANDERSON-DRAP Vice President, Delivery & Services 248-818-7802  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC1900X Psychologist, Counseling | 
| Additional Taxonomies | 104100000X Social Worker | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-11-07 | 
| Last Update Date | 2023-11-14 |