| NPI | 1417280546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CLAIRE CANTRELL Owner 248-591-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301009340) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2021-11-14 |