| NPI | 1417739202 |
|---|---|
| Other Name | DENISE MOSBY-LEWIS |
| Entity Type | Organization |
| Authorized Contact | DENISE MOSBY LEWIS Employee 248-509-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |