| NPI | 1518529049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JADE BOYD Clinical Psychologist/Owner 248-509-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-10-16 |