NPI | 1013217660 |
---|---|
Entity Type | Organization |
Authorized Contact | EMANUEL T. VANBOLDEN Owner 248-333-1083 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301013909) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2010-10-29 |