| NPI | 1235407610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA C. ESTIGOY Executive Director 248-451-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |