| NPI | 1841826955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE JACKSON Owner 734-985-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |