| NPI | 1194079863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BRAGG-LOVEJOY Director Of Operations 248-338-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |