| NPI | 1376084293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA EHLE President 248-961-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801061697) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 6801061697) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-05-12 |