| NPI | 1154629830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE KLEINSTIVER Therapist 248-738-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801079602) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |