| NPI | 1447647789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTON BABUSHKIN Owner 248-515-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801089302) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-03-12 |