| NPI | 1437456696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUITA JENENE EASLEY Therapist 734-680-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801092622) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |