NPI | 1326553603 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE SWANSON President 313-522-9707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |