| NPI | 1255516878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE ANN WALATKIEWICZ Clincial Social Worker 248-225-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2019-12-17 |