| NPI | 1033608054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTIE WILLIAMS Managing Member 248-721-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401016369) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |