NPI | 1427626563 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY LOUISE GREEN Secretary 586-330-0779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251J00000X Nursing Care | |
251V00000X Voluntary or Charitable | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-06-15 |
Last Update Date | 2021-11-12 |