| NPI | 1487163804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WATZMAN President 248-342-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 640006672) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |