| NPI | 1972351286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI NICOLE JONES CEO 313-702-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |