| NPI | 1669354601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKISHA VETERNA LASHORE Owner/Lead Clinician 734-386-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |