NPI | 1023737954 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA LYNN SHIELDS Executive Director 231-775-7299 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-08-24 |