| NPI | 1063838902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE J WILLIFORD Owner 586-292-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801085880) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-20 |