| NPI | 1871791285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE O'GARA Clinical Social Worker 734-615-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801072434) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |