| NPI | 1386929123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY STAMPER Clinical Therapist 586-530-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |