| NPI | 1669644720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WENDELL ECKERT President 989-845-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801084119) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2008-03-29 |