| NPI | 1841489283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BIDDINGER Llpc 517-262-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401010336) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-29 |