| NPI | 1891075958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M MALINOWSKI Behavioral Health Therapist 313-317-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 6301007252) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |