| NPI | 1568114338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD CORTE Owner 248-486-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |