| NPI | 1225394836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LYDIA HERZOG Owner/CEO 248-701-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301008327) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |