| NPI | 1861796815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A RHODES Clinical Social Worker 734-678-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801082078) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |