| NPI | 1568924306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MARY ESHKANIAN Provider, Owner 734-308-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-06-11 |