| NPI | 1669478921 |
|---|---|
| Doing Business As | ELM STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALDONA M VALVIVONIS President 248-642-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-08-17 |