| NPI | 1215461975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BRENNEMAN President/Owner 248-785-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013071) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |