| NPI | 1639442312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI PATTON Director 248-996-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401010477) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |