| NPI | 1992289474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY BASIINGER Owner / Authorized Official 734-234-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |