| NPI | 1558015255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR BRACKEN Owner 313-377-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-07-02 |