| NPI | 1710326988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN MCVITTIE Actp Specialist 810-257-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 3043440) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |