| NPI | 1366727802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MADIGAN MCCOMBS President 810-772-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 470067) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2016-09-15 |