| NPI | 1780823435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN O'NEILL Proprietor 248-910-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801069553) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2014-01-27 |