| NPI | 1730682253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEA D SMITH Therapist 248-990-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2018-06-16 |