NPI | 1205326816 |
---|---|
Entity Type | Organization |
Authorized Contact | CARA A TALASKA Owner 734-508-2806 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6401010650) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2020-02-03 |