NPI | 1053724138 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN E. LEAVITT Clinical Director 734-546-4811 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801080546) |
Enumeration Date | 2014-06-06 |
Last Update Date | 2014-06-06 |