| NPI | 1194498956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JONES Psychologist 586-299-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-08-12 |