| NPI | 1851108781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE DENISE LAWLOR-CLARK Owner 810-449-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |