| NPI | 1154138857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MCKEEVER Clinical Psychologist 313-729-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |