| NPI | 1235026717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A MCMILLAN Owner 248-229-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |