| NPI | 1508112657 |
|---|---|
| Other Name | LIFESPAN CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHERRY DEGRAZIA Therapist 248-615-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801092146) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |