NPI | 1497190623 |
---|---|
Entity Type | Organization |
Authorized Contact | KARLEY YATES LITTLE Owner 734-355-0946 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX p2028) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2013-05-01 |