| NPI | 1154998953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA LENO Owner 313-732-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-05-21 |