| NPI | 1720672413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA PINTAR Owner/Director 248-200-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2022-08-02 |