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 |