| NPI | 1366771461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELONZO DUNCAN MSW Social Worker 810-230-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801015593) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2010-03-23 |