| NPI | 1760053706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M SIEGEL Psychotherapist 248-930-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |