| NPI | 1154778520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASROOR HAQ Medical Director 248-969-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4704075747) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |