| NPI | 1578952081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN DENISE JONES Executive Director 248-996-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801094505) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |