| NPI | 1851853907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GAUTHIER Clinical Master Social Work 248-408-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2020-01-10 |