| NPI | 1235934993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELLEN YOUNG Clinical Social Worker 586-298-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |