| NPI | 1174348247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORAH KRISTINE CARTER Owner 989-280-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-03-31 |