NPI | 1477966950 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCIE A DIBASIO Lead Clinician 586-465-1482 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4704249095) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2014-06-03 |