| NPI | 1619621950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA L SULLIVAN-MARSHALL Mental Health Therapist 734-957-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |