| NPI | 1063803856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVAN YARLAGADDARAGHU PRASAD CEO 248-872-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2024-09-10 |