| NPI | 1164783965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TACKETT Director 517-541-2633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401009338) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |