| NPI | 1336645092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA JOY NOVAK CEO/Owner 734-646-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181140282) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-03 |