| NPI | 1871531400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIA FOSTER Administrative Assistant 248-559-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X (Licence: MI 6301001882) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-06-12 |