| NPI | 1679237895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN RAE MORENO Owner,Manager,Clinical Social Worker 586-945-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-12-15 |