| NPI | 1659876985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ROBERTS Medical Billing 734-737-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801091553) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-04-11 |