| NPI | 1104377415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BADE President 586-556-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801095674) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |