| NPI | 1558879270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY A TAGLIONE Billing CEO 734-414-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301009751) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |