| NPI | 1821426172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RAINGE CFO 248-745-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 4704251238) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |