| NPI | 1235620477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MCCULLOCH Llp/Owner 248-474-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6301001838) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |