| NPI | 1649677527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN PHILLIPS Clinical Director 586-256-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801083242) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-12-22 |