| NPI | 1700145232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANNIE L GRAY Clinical Social Worker 989-401-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801087539) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |