| NPI | 1750852570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER POLLACK Owner/Clinician 734-546-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |