| NPI | 1710353016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CARL Md 517-303-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA MD443748) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |