| NPI | 1912311572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY GALGOCI Owner 989-630-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401008530) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-09-26 |