| NPI | 1861954299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALAN KLEIN President 248-851-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |