| NPI | 1649405689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULAN MARIE GREEN President 734-646-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 681087295) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |