| NPI | 1508528407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI SHEMTOV Executive Director/President 248-788-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |