| NPI | 1982132247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SHIMMEL Owner/Counselor 248-821-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6401012954) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 6401012954) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |