| NPI | 1710401344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY YANCHO Clinical Therapist 586-747-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094859) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-08-10 |