| NPI | 1417471947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE DAWSON Intern 313-831-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |