NPI | 1528756434 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNANE ROBINSON CEO 313-790-5299 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |