| NPI | 1417361288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRITA FRON Owner 585-201-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801086461) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |