| NPI | 1881577096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GREENBERG CEO 810-243-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |