| NPI | 1063593424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P. STANISLAW President 248-645-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801000270) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |