| NPI | 1316306418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE R REYNOLDS Owner/Operator 248-736-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301016052) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |