| NPI | 1598231961 |
|---|---|
| Former Legal Business Name | 9-1-1 RECOVERS LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE LILLY Owner, Provider 734-274-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-02-18 |