| NPI | 1093033367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S FLORY Reimbursement Manager 517-346-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |