| NPI | 1710226352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE KIMMEL Clinical Social Worker 248-660-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801057192) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |