| NPI | 1295368082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WIMS Sole Member 248-882-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-07-19 |