| 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 |