| NPI | 1942068754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CORIA Owner 586-344-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |