NPI | 1053089656 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY DAWN KRUITHOFF Owner 231-629-6393 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2021-08-31 |