| NPI | 1003418468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES MCEVILLY Therapist/Owner 248-736-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |