| NPI | 1770340366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY ELAINE SMITH Chief Executive Officer 313-402-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |