| NPI | 1447421672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JAMES LEWIS Co Director 248-644-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301002406) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-09-16 |