| NPI | 1023248101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN GIBBONS Director Of Clinical Services 810-223-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |