| NPI | 1366873549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JEAN BYLE Clinical Social Worker 248-943-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801078549) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |