| 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 |