| NPI | 1174605539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS LOUISE SAGE Therapist 810-220-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6401004201) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-11-12 |