| NPI | 1003392135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVON BROWN CEO 248-506-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-11-21 |