| NPI | 1437522596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BAXTER Clinical Supervisor 248-443-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801087398) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |