| NPI | 1346919198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DICKERSON Mental Health Clinician 586-914-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-06-28 |