| NPI | 1386124576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE KAY PARKER Owner 734-476-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801058484) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |