| NPI | 1982302261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SANDERSON Clinical Social Worker 810-295-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-24 |