| NPI | 1558724088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTKOWIAKSC Clinical Social Worker 810-623-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801059955) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |