| NPI | 1174704068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RALPH KRAJEWSKI President 517-787-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801057593) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2013-05-02 |