| NPI | 1629967740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DOHERTY Licensed Clinical Social Worker 248-800-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |