| NPI | 1033530423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CLARK BAILEY Director 517-215-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 1033348925) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |