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 |