| NPI | 1467196758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARENA K CHERRY Clinical Therapist 586-215-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2024-11-20 |