| NPI | 1225361884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH R MONTGOMERY Owner 248-539-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301008150) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2010-10-04 |