| NPI | 1568795599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY OLDHAM Executive Director 586-463-7079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI L1610877) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |