| NPI | 1295243293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RICE Office Manager 734-829-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6401012245) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2022-03-17 |