| NPI | 1831383462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN M AVENI President 734-604-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801020495) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |