| NPI | 1639762602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY MURTHY Owner 248-421-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |