| NPI | 1265800262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A GOODALL Owner/ CEO 248-462-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301008152) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |