| NPI | 1992196281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE CAROLYN BANKS Psychotherapy 313-305-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801094417) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-03-24 |