| NPI | 1144758392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA BROWN Director/Owner 248-987-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2021-02-03 |