| NPI | 1871764365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS TUCKER-LLOYD Therapist 313-579-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401010783) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |