| NPI | 1487911020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA THIBAULT Owner/Proprietor 734-657-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6301014245) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2013-12-11 |