| NPI | 1104705599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LAFRAMBOISE Clinical Therapist 989-207-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-09-27 |