| NPI | 1265520209 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMY LEE BUCHANAN Office Manager 248-585-3239 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 630848) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 630848) | 
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-10-11 | 
| Last Update Date | 2025-04-28 |