| NPI | 1750036075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYRE O SANIYAH Licensed Psychologist 734-717-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2026-01-21 |