| NPI | 1043373137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J. MELROSE Executive Director 248-474-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-06-10 |