| NPI | 1932843984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA BARCLAY Owner 248-963-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-11-08 |