| NPI | 1316317027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SHEWMAKER Administrative Director 810-516-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI SA0250387) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |