| NPI | 1265520209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LEE BUCHANAN Business 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 | 2020-10-29 |