| NPI | 1689500670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNDA R DEWBERRY Licensed Clinical Social Worker 248-910-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |