| NPI | 1942354873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CSOKASY Mental Health Services Director 734-240-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 580030) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-04-28 |