| NPI | 1952117566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH DONISCH Director, Operations & Strategy 248-986-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-01-24 |