| NPI | 1295383909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAM N DOAN Manager 517-332-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-01-03 |