| NPI | 1235678806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A HERRICK Owner 734-355-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801084407) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |