| NPI | 1689261844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI S BUTLER Owner 248-934-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-02-13 |