| NPI | 1427390178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE EDWARD LAGUIRE-QUINN Owner/Operator/Practitioner 810-629-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 250045) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |