| NPI | 1043554348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN TROOP Reimbursement Officer 810-247-3496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2024-05-07 |