| NPI | 1588278923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN GORELICK Licensed Professional Counselor 248-561-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |