| NPI | 1538816988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DONAHUE Mental Health Therapist 248-629-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-03-06 |