| NPI | 1205223419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNISE NEWBY Chief Behavioral Health Therapist 248-733-5142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-04-26 |