NPI | 1780046128 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY STAFFORD Behavioral Health Therapist 313-420-9537 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-03-24 |
Last Update Date | 2016-03-24 |