| NPI | 1093783052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE M. KING-HUDSON Executive Director 810-220-8192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 470055) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 4700057) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2014-02-05 |