| NPI | 1134301005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA L PENROD Executive Director 517-264-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301006981) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |