| NPI | 1982931309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEROY FOSTER Medical Director 989-893-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI DF044754) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |