| NPI | 1821327222 |
|---|---|
| Other Name | AMY J. CHARNESS |
| Entity Type | Organization |
| Authorized Contact | AMY J. TRABITZ President 313-359-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 6301006103) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6301006103) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-10-08 |