NPI | 1780055251 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERONDA RAQUEL MCDONALD Sole Mbr 248-346-7256 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
Enumeration Date | 2015-10-09 |
Last Update Date | 2015-10-09 |