| NPI | 1154827244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY N. KNOX Owner 734-368-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301017344) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |