| NPI | 1659623239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY MEYER Regional Director 810-780-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801080190) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6801080190) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |