| NPI | 1265911945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE THERESE KRCATOVICH Owner 734-578-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301016045) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |