| NPI | 1992935308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE ALEXANDER Clinical Social Worker 248-623-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801059815) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |