| NPI | 1639132442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH CORTES Director 734-544-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-12-12 |