| NPI | 1235212572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANN MCGEGEE Therapist 734-287-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801077512) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |