| NPI | 1194414714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLANIE M KNOX Chief Executive Organization 248-298-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |