NPI | 1891573770 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI FRANCES GRANT Manager 586-651-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2023-09-20 |
Last Update Date | 2023-09-20 |