| NPI | 1811485212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHIFA GRACE MKATE RILEY Clinical Social Worker 734-719-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MI 68001091914) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-12-30 |