| NPI | 1407490006 |
|---|---|
| Doing Business As | MASON MIDDLE SCHOOL EMPOWERMENT ZONE |
| Entity Type | Organization |
| Authorized Contact | MELISSA MCQUEEN Revenue Cycle Manager 248-724-7413 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |