NPI | 1316318850 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE LYNN NOFAR President 586-933-5395 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 64010102776) |
Enumeration Date | 2015-10-09 |
Last Update Date | 2016-10-31 |