| NPI | 1245865526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN CHRISTINE ULRICH Sole Member / Authorized Official 734-709-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2026-03-06 |