| NPI | 1184021834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P DOWLING Clinical Therapist 517-321-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401003899) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |