NPI | 1912484411 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK LEVENSON Owner 248-921-1348 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801092847) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2018-07-26 |