| NPI | 1992908883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L LANTZY Vice President Finance 248-937-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |