| NPI | 1932516184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA STAFFORD Clinical Director 734-266-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6801019488) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |