| NPI | 1134618713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN DAWN SCHNEIDER Owner 586-549-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 802191909) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-11-22 |