| NPI | 1285293159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH KAPSNER-ANFINSON Clinical Social Worker 248-839-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |