| NPI | 1104959493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRADY WILKINSON President CEO 810-392-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 250328) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |