NPI | 1700363942 |
---|---|
Entity Type | Organization |
Authorized Contact | TRINA LYNN GALE Counselor 734-652-6012 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2018-07-20 |