| NPI | 1437018074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KACZOR Clinical Therapist 248-220-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-01-20 |