| NPI | 1730880741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORETHIA ANN DELRIDGE Therapist 586-420-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-05-02 |