| NPI | 1053029561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HAYGOOD Therapist 313-704-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |