| NPI | 1760364764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DANIELLE WOODWARD Therapist/Owner 248-835-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |