| NPI | 1871386656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LINNEA CEDERNA Member, Owner 734-968-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2026-04-23 |