| NPI | 1942715784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E STEIN-WOLF Owner 586-484-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 11778) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 11778) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-07-23 |