| NPI | 1063730307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D DANIELS Sole Proprietor 810-230-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801017637) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-21 |