| NPI | 1649934043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA SALMAN Clinical Director 313-645-2422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |