| NPI | 1740991769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M ARCHAMBAULT SELVES Director/Child And Family Therapy 810-964-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |