| NPI | 1912225152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SMITH Mental Health Counselor 248-423-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401011596) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |