| NPI | 1528369865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENAE ANNETTE ADAMS Wraparound Specialist 810-496-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801086732) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |