| NPI | 1740746387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL CRUTCHFIELD Therapist 734-717-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-09-07 |