| NPI | 1508639444 |
|---|---|
| Doing Business As | PHYLLIS GRUBER CHILD AND YOUNG ADULT RESOURCE CENTER |
| Entity Type | Organization |
| Authorized Contact | FRED H GRUBER Owner 734-552-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |