| NPI | 1881934206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN J BERGBOWER Administrator 810-225-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 470092) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2023-11-06 |