NPI | 1750849022 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY WESSELS Bemefits/Credentialing Coordinator 734-545-6335 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-03-06 |