| NPI | 1134936693 |
|---|---|
| Other Name | GARY'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | LAURA URIAS GIUCHIN Sr Accountant 906-228-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-02-18 |