| NPI | 1528378098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE LYNN SENECAL Therapis 248-322-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI s524098564116) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |