| NPI | 1942872296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA LAVETTE JONES Administrator 248-245-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |