| NPI | 1619075942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEROY WARNER President 734-453-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-04-21 |