| NPI | 1275862757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRADY WILKINSON President/CEO 810-392-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 730214) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |