| NPI | 1821422262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRADY WILKINSON President /CEO 810-392-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 2536171) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |