| NPI | 1134614696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L LAFLEUR Reimbursement Supervisor 616-456-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0610100) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-01-05 |