| NPI | 1710713649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MANSER Vice President 248-802-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 305S00000X Point of Service | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-26 |