| 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 |