| NPI | 1578823175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RENEE PAGE Director Of Operations 810-743-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MI AM250237981) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |