| NPI | 1245623057 |
|---|---|
| Other Name | KEN WHITTUM |
| Entity Type | Organization |
| Authorized Contact | KENNETH D WHITTUM Director/Therapist 734-368-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013328) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |