| NPI | 1689073223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN WISNIEWSKI General Partner/Therapist 248-977-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI E48909) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2015-01-13 |