| NPI | 1902481922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY SANDERS-COBB Social Worker 248-719-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |