| NPI | 1275728057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDREA L CARTER Owner 989-906-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801082020) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-17 |