| NPI | 1114748712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH DONISCH Director, Operations & Strategy 248-254-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-11-07 |