| NPI | 1760641443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANN BARTON Sole Proprietor 586-268-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801018276) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |