| NPI | 1164693362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. TRASK President 248-689-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301007751) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |