| NPI | 1104098128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO A YUZON President 248-656-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 032134) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |