| NPI | 1790918431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIOANNE KENDRICK-JEFFERY Mental Health Nurse 734-222-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MI 470120743) |
| Additional Taxonomies | 251C00000X (Licence: MI 4704120743) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |