| NPI | 1134550510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH CHRISTINA WALTERS CEO 248-737-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6301006592) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4101005991) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |