| NPI | 1083840466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A WOOD Owner 231-894-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801017827) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2009-05-31 |