| NPI | 1508669813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA PRATT Owner 810-338-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |