| NPI | 1700619129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS THOMAS ALLEN Owner/Therpaist 313-942-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |