| NPI | 1033610076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE BISHOP Owner 248-709-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801089907) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-03-30 |