| NPI | 1669021259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SISTY Licensed Clinical Social Worker 734-330-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |