| NPI | 1205077583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY A TENCZA Medical Director 586-585-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4301072319) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |