| NPI | 1558978593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MILLIS WYSS Owner 734-926-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-03-05 |