NPI | 1649863192 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA J LILLEY Owner/CEO 586-960-5744 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-16 |
Last Update Date | 2021-02-16 |