NPI | 1669106423 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA JEAN CECIL Owner 734-623-9716 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2022-07-15 |
Last Update Date | 2022-07-15 |