NPI | 1467221762 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA HARRIS Owner 586-300-4477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
251B00000X Case Management | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-12-28 |
Last Update Date | 2024-01-30 |