| NPI | 1801580105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E TOMA Owner 313-335-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-08-20 |