| NPI | 1265975965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA STEWART Chief Operating Officer 248-488-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI AS630012458) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |