| NPI | 1821650516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE JAKUBUS Owner 734-548-1764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |