| NPI | 1740691815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL LESURE Chief Executive Officer 248-943-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |