| NPI | 1922708478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABISHEK THIAGARAJ Owner 248-943-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-12-20 |