| NPI | 1467648535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYNN SMALLER CEO 248-540-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 630066) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |