| NPI | 1104106962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COLLINS Compliance Officer 989-558-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2025-06-05 |