| NPI | 1821443441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA L WILLIS Chief Executive Officer 248-904-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QV0200X Clinic/Center VA | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-07 |