| NPI | 1063953834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY PATRICIA CREEL Therapist 810-287-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401014431) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |