| NPI | 1033595665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ST. JOHN Executive Director 248-581-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2022-08-23 |