| NPI | 1063180255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA LENO Psychologist 313-732-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-08-08 |