NPI | 1366075723 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA HAMBURG Clinical Therapist 248-329-3099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-02-13 |