| NPI | 1609448760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ANDERSON Owner 810-373-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |