| NPI | 1992589881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ELIZABETH BENNETT Mental Health Clinician/Therapist 810-356-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-02-27 |