NPI | 1861171175 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE MARIE WASSEL Owner 734-255-3439 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-07-13 |
Last Update Date | 2024-03-11 |