NPI | 1669725875 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY ANN RICKMAN Therapist 313-799-0093 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401006504) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6801035053) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |