NPI | 1538833660 |
---|---|
Entity Type | Organization |
Authorized Contact | JACALYN HARDEN Principal 313-355-0534 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-08-03 |