| NPI | 1710653456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MILLIKEN Owner 734-234-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-08-30 |