NPI | 1720600653 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA DIANE BROOME Owner/Clinical Therapist 810-207-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-05-14 |