| NPI | 1902219918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE ROMANO Director 586-295-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013092) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |