| NPI | 1336445675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL LAST Owner 248-559-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301003183) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-05-19 |