| NPI | 1942802889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T MOREHEAD Owner Operator 586-213-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-12-14 |