NPI | 1356545404 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH SCALLON Vice President Finance 313-578-8564 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-22 |