| NPI | 1790094159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINSDAY JOSEPH CFO 313-745-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2022-03-22 |