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 |