| NPI | 1235665621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE EVANS Owner 248-525-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401005480) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |