| NPI | 1760976419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HARRIS Owner 248-368-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2022-12-12 |