| NPI | 1316323272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MOSBY-LEWIS Therapist 586-983-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401009773) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-07 |