| NPI | 1215215082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORENE FRITZ Proprietor 734-812-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401012565) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |