| NPI | 1629357942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH CASTEEL Superviser 734-785-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI R140777067998) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |