| NPI | 1447559091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BRIDGET MACLEOD Social Worker 734-612-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6801092621) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |