| NPI | 1083997019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE FRASE VP Finance/Hr 810-233-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801079960) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |