NPI | 1124687660 |
---|---|
Entity Type | Organization |
Authorized Contact | MEREDITH J MAURER Therapist 248-763-5482 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-06-09 |
Last Update Date | 2019-06-09 |