| NPI | 1154877835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PRICE IRVIN Clinical Social Worker 734-383-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801058684) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |