| NPI | 1598746489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K G THIMOTHEOSE Licensed Psychologist/President/CEO 248-559-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |