| NPI | 1265985568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASREEN R MEAH CEO 734-353-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801093766) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |