| NPI | 1609588920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDEN REID Therapist 586-460-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |