| NPI | 1497952428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCALLEN Vice President Finance 313-745-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |