| NPI | 1366637472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL R MEY President/Owner 989-399-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4101006152) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |