| NPI | 1639770290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOUMEH MORADI Mental Health Counselor 248-225-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |