| NPI | 1417668138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TOWNLEY Director 313-626-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2026-05-06 |