| NPI | 1619151438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN LOTOCZKY Owner 248-528-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801065930) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |