| NPI | 1174799209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL R MILLER Office Manager 586-783-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2017-12-06 |