| NPI | 1528473766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE LESNIAK Executive Director 248-353-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801074061) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |