| NPI | 1497063051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEY ILECHUKWU Principal 248-541-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 4301060642) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301060642) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |