| NPI | 1689361693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARY Owner 248-755-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-10-19 |