| 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 |