| NPI | 1982426789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREEANA SOBIESKI Sole Member / Delegated Official 734-404-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |