| NPI | 1427479369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE JOHNSON Casemanager 810-780-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 1801097522) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |