| NPI | 1477821502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE LUCIDO Evidence Based Practice Coordinator 586-855-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401011529) |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2022-08-26 |