| NPI | 1043020688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MERCER CEO 586-915-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-02-12 |