| NPI | 1336722560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CRAIG CEO 248-470-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |