| NPI | 1609012327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCCARTHY Owner 248-642-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301012495) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |