| NPI | 1700310828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOTTA MONQIUE SLATER Owner 586-580-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401011148) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |