| NPI | 1689067118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN L JOHNSON Clinical Director 248-716-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401012467) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |