| NPI | 1437208626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS CARL SWEDORSKI O. A. S. Inservice Trainer 810-496-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4704155606) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |