| NPI | 1063409480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE A JANKOWSKI Accounting Clerk 989-686-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4422590) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-11-02 |