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 |