NPI | 1508137738 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN JOAN BERGBOWER President 810-225-9550 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 470092) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |