| NPI | 1154974970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE RENEE WILSON President 313-409-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2019-07-21 |