| NPI | 1669834040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WISAM A SALMAN Owner 313-945-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |