| NPI | 1780411967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENG DU Executive Director/Accounting Manag 248-880-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |