| NPI | 1679047039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MARIE WILLIAMS CEO 248-842-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-08-30 |