| NPI | 1811423676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RAE QUEEN Psychotherapist 586-226-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6401007827) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |