| NPI | 1679124408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIERA DANYAL CLIFFORD Executive Director 313-800-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-07-01 |