| NPI | 1700252665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE ROSE Licensed Social Worker 734-834-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801064394) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2016-02-03 |