| NPI | 1023543253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIECE HOWARD Owner 734-494-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 68010855939) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |