| NPI | 1407528920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYDE KENNEDY-BALL Owner 517-262-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2021-10-03 |