| NPI | 1386074094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI FOSTER Owner 734-276-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801019435) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |