| NPI | 1669367249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH KATHERINE STADEL Practice Owner/Clinical Therapist 810-444-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-08-16 |