NPI | 1679642672 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK F WARCHOL Owner Operator 586-226-1991 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801060259) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006085) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |