| NPI | 1245722032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORLISS MICHELE WATKINS Member/Executive Director 248-773-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI AF) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |