| NPI | 1275103988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELL DENELL HARPER-SHELTON Executive Coordinator 810-238-7226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2021-06-26 |