| NPI | 1902279466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE HARVEY Behavioral Health Counselor 313-372-5974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 6401013184) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-18 |