| NPI | 1003914946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA B RUPP Executive Director 231-724-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-09-08 |