| NPI | 1801400023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET CUDDIHY BUTZ Clinical Social Worker 734-657-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |