| NPI | 1265866859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURYN SHUGARS Managing Owner 586-214-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013741) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-12-13 |