| NPI | 1952808545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANNE RYAN Owner 586-909-2761 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |