| NPI | 1114152147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ WILLIAMS CEO 989-493-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 730213) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 730213) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 730213) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2012-09-11 |