| NPI | 1609216829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD T TERLEP Director 586-218-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401006599) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |