| NPI | 1689710261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN HAMLIN Physician 248-889-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6301005342) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |