| NPI | 1013041698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AME EDSTROM Director 989-775-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 370007) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 370007) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-01-10 |