| NPI | 1669823894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENEVE BLEVINS Psychotherapist 586-354-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013058) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |