| NPI | 1588047542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE LAFAYETTE Owner 734-250-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801066229) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |