| NPI | 1093944704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER RANDALL DRWAL President 810-234-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301013082) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-16 |