| NPI | 1902397763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DERAUD Owner 248-396-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801080766) |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2021-04-19 |