| NPI | 1861950933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ELIZABETH BRUSS Clinical Therapist 313-775-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1000X Clinic/Center, Migrant Health | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |