| NPI | 1215222658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA JAMERSO Owner 248-249-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401010656) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |