| NPI | 1770227506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CARNEY Clinical Social Worker 313-829-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |