| NPI | 1346775806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MORTENSON Psychiatrist 734-436-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4301095455) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |