| NPI | 1861571846 |
|---|---|
| Other Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | NANCY DAHMS PETRIDES Clinician Owner 248-343-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801033601) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |