NPI | 1770046575 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA KANDAH Founder 248-495-8165 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2019-04-23 |