| NPI | 1962188961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA PAUL PANTER Owner / Clinical Director 734-678-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 225700000X Massage Therapist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |