| 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 |