| NPI | 1548211535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL R MILLER Office Manager 586-783-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-03-17 |