| NPI | 1184108789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY TURBOVSKY Officer 248-757-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |