| NPI | 1679926083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIA MARIE HOLLIS Owner/Provider 248-924-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60681) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2017-03-22 |