NPI | 1629467725 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA G PROCHAZKA Owner 734-776-0676 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801005822) |
Enumeration Date | 2015-01-13 |
Last Update Date | 2015-01-13 |