NPI | 1417251943 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN MICHELLE FOUCHE BRAZZLE President 248-932-0290 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 4301052026) |
Enumeration Date | 2010-12-23 |
Last Update Date | 2010-12-23 |