| NPI | 1649757626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN ALLISON Director 248-796-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401011114) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: MI 6401011114) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6401011114) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |