| NPI | 1649558354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYNN AMALFITANO Social Worker 248-423-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 2875798) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |