| NPI | 1730024431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE POTTER Sole Member Authorized Official 734-674-0917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |