| NPI | 1023394780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADWAN KHOURY Secretary/Vice President 248-559-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |