| NPI | 1982929725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RACHAN STEVENSON Clinical Director 248-470-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |