| NPI | 1003475617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL R SCHMIDT Billing Manager 586-783-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |