| NPI | 1720685464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIERA D CLIFFORD Owner 313-800-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-03-02 |